半侵入式穿针外固定法治疗股骨粗隆间骨折合并多种疾病

摘要

目的：探讨半侵入式穿针外固定、动力髋螺钉固定和 Gamma 钉内固定三种不同固定方法治疗股骨粗隆间骨折合并多种疾病的临床疗效。方法选取2002年1月至2013年1月期间收治的股骨粗隆间骨折合并多种疾病患者396例为研究对象，根据治疗方式分为半侵入式穿针外固定治疗组（ A 组102例）、动力髋螺钉固定治疗组（B 组114例）和 Gamma 钉内固定治疗组（C 组180例），治疗结束后随访12~36个月，评价治疗效果。结果骨折愈合时间、平均住院时间三组组间比较差异无统计学意义（ P >0.05）；负重时间、并发症发生率 A 组最差，C 组最优，差异具有统计学意义（ P 0. 05). The load time,the incidence of complications were worst in group A and best in group C,and the difference has statistical significance( P < 0. 05). The incision length,operative time,blood loss in group A were best,and the differences between groups have statistical significance( P <0. 05 or P < 0. 01). Hip improvement rate in group A was lower than that of group B or C.( P < 0. 01). Conclusion Half intrusion external fixation method is an ideal treatment method in the treatment of intertrochanteric fracture with a variety of diseases.